Individual provider Active NPI

David Sterling Drake, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Colorado Springs, CO
National Provider Identifier
1316475932
Registry record updated Jul 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
0401417940 Issued in VA
Practice address
1644 Medical Center PT Ste 101
Colorado Springs, CO 80907-5765
Phone
(719) 597-4060
Fax
(719) 574-2140
NPI assigned
May 25, 2017
Last updated
Jul 19, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X DEN.00206367 CO
Dentist 122300000X 10387645-9922 UT
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 0401417940 VA Primary

Addresses

Primary practice location

1644 Medical Center PT Ste 101
Colorado Springs, CO 80907-5765

Mailing address

1644 Medical Center PT Ste 101
Colorado Springs, CO 80907-5765
Phone (719) 597-4060

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Mar 16, 2026 through Mar 16, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
10387645-9922UTMDDentist
0401417940VAMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
Colorado Springs Oral and Facial Surgery Center PLLC Oral and Maxillofacial Surgery PastSince Jan 31, 2021 Accepting new patients
Let's Smile of Herndon, PLLC Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1495670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784419200000",
    "number": "1316475932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1644 MEDICAL CENTER PT STE 101",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809075765",
            "telephone_number": "719-597-4060",
            "fax_number": "719-574-2140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1644 MEDICAL CENTER PT STE 101",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809075765",
            "telephone_number": "719-597-4060",
            "fax_number": "719-574-2140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRAKE",
        "first_name": "DAVID",
        "middle_name": "STERLING",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-25",
        "last_updated": "2026-07-19",
        "certification_date": "2026-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CO",
            "license": "DEN.00206367",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "UT",
            "license": "10387645-9922",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "VA",
            "license": "0401417940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.